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Food allergy to cow’s milk proteins and meat

https://doi.org/10.46563/1560-9561-2023-26-5-368-375

EDN: avtema

Abstract

Introduction. Cow’s milk and dairy products are important sources of high-quality animal proteins, calcium, vitamins, and minerals. They are widely used in the diet of preschool and school-age children and contribute to the normal development and resilience of children against the effects of adverse external factors. However, cow’s milk can cause serious allergic reactions in children, even leading to anaphylaxis. Allergy to cow’s milk proteins is one of the common allergic reactions among preschool-age children. Through conducted research, patterns of the natural course of milk allergy over time have been established. In most cases, by the age of 5 years, children develop tolerance to cow’s milk proteins. However, some school-age children may retain heightened sensitivity to them. Sustaining such prolonged milk allergy in a school-age child requires identifying the cause and conducting in-depth examinations for each specific patient. In such cases, valuable information about elevated sensitivity to whole cow’s milk protein and its components is provided by molecular (component-based) diagnostics. This enables the identification of causally significant components (α-lactalbumin, β-lactoglobulin, bovine serum albumin) of milk protein for the purpose of rational diet therapy, considering cross-reactions with beef meat. The presented article summarizes and systematizes literary and proprietary data on allergy to cow’s milk proteins and its components, as well as to beef meat. Understanding the characteristics of allergy to cow’s milk proteins and its components, cross-reacting with beef, will help avoid serious consequences of irrational elimination diets.

Contribution:
Revyakina V.A. — research concept and design of the study, writing the text;
Larkova I.A., Mukhortykh V.A., Kuvshinova E.D. — collection and processing of material;
Mukhortykh V.A., Larkova I.A. — editing the text.
All co-­authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: August 10, 2023
Accepted: September 12, 2023
Published: October 31, 2023

About the Authors

Vera A. Revyakina
Federal Research Center for Nutrition, Biotechnology, and Food Safety; National Medical Research Center for Children’s Health
Russian Federation

MD, PhD, DSci., Prof., Head of the Department of allergology and diet therapy, Federal Research Center for Nutrition and Biotechnology, and Food Safety, Moscow, 115446, Russian Federation.

e-mail: 5356797@mail.ru



Valeriy A. Mukhortykh
Federal Research Center for Nutrition, Biotechnology, and Food Safety; Federal Scientific and Clinical Center for Children and Adolescents
Russian Federation


Inna A. Larkova
Federal Research Center for Nutrition, Biotechnology, and Food Safety; National Medical Research Center for Children’s Health
Russian Federation


Elena D. Kuvshinova
Federal Research Center for Nutrition, Biotechnology, and Food Safety
Russian Federation


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For citations:


Revyakina V.A., Mukhortykh V.A., Larkova I.A., Kuvshinova E.D. Food allergy to cow’s milk proteins and meat. Russian Pediatric Journal. 2023;26(5):368-375. (In Russ.) https://doi.org/10.46563/1560-9561-2023-26-5-368-375. EDN: avtema

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